Organization
EXTENDED CARE SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A CASSIN (PRESIDENT)
(510) 233-7332
Entity
Organization
Contact information
Practice address
1900 7TH ST, SUITE A, RICHMOND, CA 94801-1640
(510) 233-7332
(510) 233-7892
Mailing address
1900 7TH ST, SUITE A, RICHMOND, CA 94801-1640
(510) 233-7332
(510) 233-7892
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01630F
—
CA
Enumeration date
01/17/2007
Last updated
08/22/2020
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